Mikhail Berdichevsky, D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

41158 Issued in CA

Legal business name

MIKHAIL BERDICHEVSKY, D.D.S., INC.

Practice address

4444 Geary Blvd
Suite 303
San Francisco, CA 94118-3048

Phone

(415) 386-5590

Fax

(415) 386-5592

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mikhail Berdichevsky, D.D.S.NPI 1821178344

Title

Ceo

Phone

(415) 386-5590

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail Berdichevsky, D.D.S.

  • Dentist
  • San Francisco, CA
  • NPI 1821178344
  Medicare reassignment Authorized official
• Nina Izraylevich, D.D.S.

  • Dentist
  • San Francisco, CA
  • NPI 1003946443
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992835425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183048",
            "telephone_number": "415-386-5590",
            "fax_number": "415-386-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 GEARY BLVD",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183048",
            "telephone_number": "415-386-5590",
            "fax_number": "415-386-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL BERDICHEVSKY, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERDICHEVSKY",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-386-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akemi Elizabeth Mii, MA
• Mike Le Chiropractic Inc.
• Mike Li, D.D.S., Inc.
• Georgi Mikeladze, MD
• Michele Louise Mikeska
• Matthew Mikhail
• Megan Elizabeth Mikhail, PHD
• Salwa Mikhail, MD
• Aleksandra Mikhaylenko
• Courtney Collins Mikowicz, D.P.T.

• Dental Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.